Sasha Julia Creedon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1112066 Issued in TX

Practice address

22211 I-10 West
Suite 1206
San Antonio, TX 78257

Phone

(210) 972-8058

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sasha Julia Mandle Guevara Former name

Medicare fee-for-service enrollment

Enrolled in TX, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of the Incarnate Word School of Osteo Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Flagship Medical GroupGroup PAC ID 4688050263, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sasha.creedon.1@33464.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flagship Medical Group

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1962135822
  Medicare reassignment Care Compare group NPD
• Mary'S Center for Maternal and Child Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1962520288
  Medicare reassignment NPD
• Marys Center for Maternal and Child Care Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1821341249
  NPD
• Marys Center for Maternal and Child Care Inc

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1831635986
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1124729447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AVENUE B APT 1341",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152304",
            "telephone_number": "507-261-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22211 I-10 WEST",
            "address_2": "SUITE 1206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-972-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEDON",
        "first_name": "SASHA",
        "middle_name": "JULIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "MANDLE GUEVARA",
            "middle_name": "JULIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Lee Creaturo, MA, LPC
• Howard Dwayne Credor, CRNA
• Jessica Creed, BCBA, LBA
• Creedmoor Orthopedics, P.a.
• Douglas J Creedon, M.D.
• Creekside Counseling of Westover Hills PLLC
• Creekside Open MRI Center LLC
• Creekview Counseling PLLC
• Cynthia Lynn Creel
• Kelli Diane Creel

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.